Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $241.80 / $456.45	Facility		$99.05	$241.80	$456.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional		$56.88	$80.09	$95.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.59 / $180.70 / $704.48	Facility		$143.59	$180.70	$704.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $114.43 / $156.47	Professional		$111.00	$114.43	$156.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $331.73 / $652.46	Facility		$38.36	$331.73	$652.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $149.53	Professional		$38.36	$60.16	$149.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $94.98 / $147.06	Facility		$75.94	$94.98	$147.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Professional		$79.94	$79.94	$79.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $90.63	Professional		$62.94	$62.94	$90.63
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $62.94 / $119.91	Professional		$39.97	$62.94	$119.91